Provider Demographics
NPI:1306126511
Name:HOLLINGSWORTH, JOSHUA CARR (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:CARR
Last Name:HOLLINGSWORTH
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2038 LEE ROAD 137 LOT 260
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36832-7521
Mailing Address - Country:US
Mailing Address - Phone:228-623-8106
Mailing Address - Fax:
Practice Address - Street 1:459 N BROADNAX ST
Practice Address - Street 2:
Practice Address - City:DADEVILLE
Practice Address - State:AL
Practice Address - Zip Code:36853-2108
Practice Address - Country:US
Practice Address - Phone:256-825-4242
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-18
Last Update Date:2011-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL16848183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist